#FHIR

Using the FHIR DEMO, I have pieced together how to make a FHIR Request using OAuth against an External FHIR Repository. When I execute the Patient search (HS.FHIRServer.Interop.Request), I get a HS.FHIRServer.Interop.Response that has a Quick Stream ID, which I then use to convert the Quick Stream to a JSON Dynamic Object. if I do a trace on the Raw JSON Object, I am able to pull out single elements, however I want to pull the raw JSON into a defined Class Structure. 

I tried using fromDao(dao As %DynamicAbstractObject) As <HS.FHIRModel.

I'm running into an intermittent issue with some of our Custom Operations/Processes as a result of some large FHIR R4 Binaries. Essentially we get a response from an AthenaHealth FHIR endpoint that appears to be too large to be processed using the IRIS Built In Functions for FHIR:
I've replicated it on the command line here using a file (binary.json) that has the response from the FHIR Endpoint. Not sharing full contents due to PHI concerns.

HSCUSTOM>S file=##class(%Stream.FileCharacter).%New()

HSCUSTOM>Do file.LinkToFile("/data/binary.json")

HSCUSTOM>w file.

Hello Community,

I've configured a FHIR Server in FHIR Configuration "/csp/healthshare/learn1/fhir/r4 " and I enabled a JWT Authentication for this web application. I've invoked this url http://localhost:52773/csp/healthshare/learn1/fhir/r4/login with basic auth get the JWT token. Now I use the access token as a "Bearer" for GET the patient resource. But I got 401Unauthorized error. Anyway I can get the patient resource with basic auth. I tired assign with %ALL role for testing as well. Did I miss any additional configuration in "FHIR Server Configuration"

Hello Community,

I'm a beginner and currently working on a project to convert CCDA files to FHIR using InterSystems IRIS. I have developed a web form to upload CCDA files, and I'm attempting to convert the uploaded CCDA files to FHIR. However, I am encountering an issue where the conversion process results in an empty entry.
Here's the Output it displays on HTML page:

Size of CCDA Stream: 74152
vR4
{"resourceType":"Bundle","type":"transaction","entry":[]}

Here is my code: CCDtoFHIR.csp

<!

Up until recently, I have been toying around with REST/FHIR capabilities but only internally. Now I have a request to make REST API calls outside of our Network. 

I am using an RSA 4096 key, because Microsoft Active Directory Services which generates the signed certificate could not handle the Elliptical Key (ECC) when I put the request in.

• Others in the Healthcare industry, how have you handled this when there isn't an API manager involved?
• Do you connect directly through the Interoperability Engine using a TLS key?

Hi Community,

Watch the new video on InterSystems Developers YouTube:

⏯ What Is HealthShare Health Connect

At Ascendion, we are looking for a IRIS for Health Engineers who has experience in build HL7 to FHIR and CCDA to FHIR conversion interfaces. Also knowledge on GCP/GKE is nice to have. If you are interested, please reach out to Himanshu.kesarkar@ascendion.com ; manoj.nair@ascendion.com ; srinath.r@ascendion.com

IRIS for UNIX (Red Hat Enterprise Linux 8 for x86-64) 2024.1 (Build 267_2U) Tue Apr 30 2024 16:06:39 EDT [HealthConnect:7.2.0-1.r1]

I have a use case where Epic is sending an A60 Allergy transaction is set at the Patient level, but we have a system called VIBE which needs the ADT at an Encounter level instead. Currently we store ADT information in a MS SQL database for years, and we are querying it to get the latest Account Number to insert into the ADT^A60 for VIBE.

This MS SQL Visit Database was built over 20 years ago and is quite cumbersome to keep maintaining.

Hi Community,

Watch the new video on InterSystems Developers YouTube:

⏯ Introduction to HealthShare Unified Care Record

Hello everyone,

Recently, I've been working on a Business Process that processes a large JSON FHIR message containing up to 50k requests in an array within the JSON.

Currently, the code imports the JSON as a dynamic object from the original message stream, obtains an iterator from it, and processes each request one at a time in a loop.

The performance meets the requirements, even with much larger requests than the one exposed above.

Hi Community,

Watch this video to learn how to use HL7® FHIR® Shorthand (a domain-specific, human-readable language for defining profiles, extensions, and other FHIR artifacts) to more efficiently create a FHIR Implementation Guide:

⏯ Using HL7 FHIR Shorthand

Hey Community,

Watch this video to get an overview of how UC Davis Health uses HealthShare and Smart on FHIR to integrate genomics results into medical records as interactive discrete result pages:

⏯ Genomics Data in HealthShare @ Global Summit 2023

I'm trying to complete Inferno Service Base URL test for FHIR endpoint and I thought it wanted host.com/fhir/r4/.well-known/smart-configuration but I get header error below. Am I using the wrong Service Base URL List or am I missing something? I'm running 2021.2 HealthShare

ERROR <HSFHIRErr>InvalidAcceptSpec: No valid Accept data found (Accept header or _format parameter)

I am trying to work with the FHIR Object Model where I convert an incoming  HL7v2 to SDA then FHIR. From here I would like to be able to process the FHIR Object by deserializing it to a Bundle object using the following code my problem is I keep on getting an error  which is not explaining much about what is wrong with what I am doing any help will be appreciated  thanks.

Property FHIRAdapter As HS.JSON.AdaptorFHIR;

Method OnRequest(pRequest As HS.Message.FHIR.Request, Output pResponse As HS.Message.FHIR.Response) As %Status
{

             set pmReqFHIRobj=##class(HS.FHIR.Model.Resource.Bundle).

Hi Community,

Watch this video to see how HL7® FHIR® Implementation Guides allow you to restrict or extend APIs, resources, and terminologies:

⏯ What are HL7 FHIR Implementation Guides

I created a FHIR Client to execute a GET response from an external FHIR server. I set everything up according to this post: https://community.intersystems.com/post/create-fhir-rest-client#comment…

I was able to send a GET request and got a response of type HS.FHIRServer.Interop.Response.

But in the visual trace, I do not see the actual json response payload.  I opened the response object in terminal and saw it has a QuickStreamId, which I used with the HS.SDA3.QuickStream class to open the quickstream object. But how do I get the payload from this quickstream object? 

Hey Community,

Play the new video on InterSystems Developers YouTube:

⏯ Building a FHIR Facade @ Global Summit 2023

I am attempting to make a FHIR call against the Epic Repository through Intersystems. I have setup a Service client per Create FHIR REST Client | InterSystems Developer Community | Business

but I have set it up using OAuth and HTTPS.

I have verified that the OAuth works by executing it manually via a Terminal to verify I get a response. Of course, when I do it is writing to the ISCLOG

I am trying to now test making the FHIR call by initiating the test of HS.FHIRServer.Interop.HTTPOperation, however I keep getting mixed results with first a 404 not found error, and now a 401 unauthorized error.

Hi folks,

I am working on a customer project which uses some slightly altered FHIR resources in comparison to default R4 patient resource. I am able to import the structuedefinition as a custom FHIR package and assign it to the ISC FHIR server and the endpoint the IRIS instance provides.

My question is - what is the benefit of using such a custom profil only defining some changes on a resources default definition (e.g. in field optionality)? From my understanding the ISC FHIR server does not validate resources it receives.

Hi All,
We invite you to join our next Meetup in Boston on June 25 5:30-7:30 pm.
>> RSVP here <<
 

Hi Team,

I am trying to use the inbuilt class: EnsLib.HL7.Service.FileService to pass through an HL7 ADT message as a part of an HL7 to FHIR transformation. We have a client requirement, where we are receiving an NTE segment as a part of the ADT message. I am trying to map the NTE segment to an OBX Segment. I need to implement a counter for OBX segment whenever a NTE segment is found and map the NTE fields to the new OBX segment

How do I implement the counter for OBX?

Thanks

Santosh 

Hello Community,

I'm trying to execute the FHIR R4 profile validation and got the below error. How to fix this below error

http://localhost:52773/csp/healthshare/learn1/fhir/r4/Patient/$validate?profile=http://examples.com/fhir/StructureDefinition/aktestpatient|4.0.1

Hi Community,

Play the new video on InterSystems Developers YouTube:

⏯ FHIR to IntegratedML - Can You Get There From Here @ Global Summit 2023

I am trying to create my first call to our Epic FHIR Repository from Health Connect using Samples-FHIRStarter now that I have OAuth2.0 connection tested/working with our Epic Interconnect URL.

When I take a patient example from our Epic environment and test it through Data.BPL.PatientRecordCollector within the Namespace, I keep getting a 404 - File or directory not found 

as it tells me it cannot find the patient. So, I know the connection is being established, I just can't see what is being sent to Epic to see if I could test it through Postman.

Question for folks who have connected to an External FHIR repository outside of IRIS. Within the HS.FHIRServer.Interop.HTTPOperation there is not an option to include TLS or an OAuth authentication when connecting to an external Repository. So then how is that piece done if you need to Authenticate against an OAuth Server before you are able to access the data or call the Web Services/REST calls?

Hey Developers,

Watch the latest video on InterSystems Developers YouTube:

⏯ Understanding HL7 FHIR Profiles

Hey Developers,

Watch the latest video on InterSystems Developers YouTube:

⏯ Identifying Structured and Coded Data in HL7 FHIR Resources

Hi Developers,

Watch the latest video on InterSystems Developers YouTube:

⏯ Organizing HL7 FHIR Resources

Hello developers!

We invite you to a new Spanish webinar "SMART on FHIR, extending the capabilities of HealthShare" 

📅 Date & Time: Thursday, April 25th, at 4:00 PM (CEST).

🗣 Speaker: @Rubén Larenas , Sales Engineer at InterSystems

Hi Community,

Watch the latest video on InterSystems Developers YouTube:

⏯ Understanding the Structure of HL7 FHIR Resources